Organization
OCULAR PROSTHETICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN EDWARD HADDAD (PRESIDENT)
(323) 462-6004
Entity
Organization
Contact information
Practice address
321 N LARCHMONT BLVD, SUITE 711, LOS ANGELES, CA 90004-3025
(323) 462-6004
Mailing address
321 N LARCHMONT BLVD, SUITE 711, LOS ANGELES, CA 90004-3025
(323) 462-6004
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DXO270090
—
CA
Enumeration date
11/08/2006
Last updated
11/01/2007
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